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General NPI Number Information
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NPI Number | 1750547261
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Entity Type | Organization
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Legal Business Name | THE VILLAGES MEDICAL CENTER, LLC
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Dates
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Enumeration Date | 08/04/2008
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Last Update Date | 04/27/2009
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Provider Practice Location Address
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Address Line | 1400 N US HIGHWAY 441 BLDG 500 STE 522
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City | THE VILLAGES
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State | FL
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Zip | 32159-8975
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Country | US
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Telephone | 352-350-2136
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Fax | 352-350-2137
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Provider Business Mailing Address
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Address Line | 1400 US HWY 441 BLDG 500 STE 522
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City | THE VILLAGES
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State | FL
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Zip | 32159-8983
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Country | US
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Telephone | 352-350-2136
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Fax | 352-350-2137
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MRS. NARMATA A. AMIN
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Credential |
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Telephone | 727-251-1366
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME67237
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License Number State | FL
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